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Multiple myeloma cell surface antigen

Molecular classification
Other (heterogeneous group: includes various classes such as receptors, adhesion molecules, antigens, etc.)
01

Overview

Multiple myeloma cell surface antigens are a heterogeneous group of membrane-bound proteins and glycoproteins that are expressed on malignant plasma cells in multiple myeloma. These include, but are not limited to, CD38, CD138 (syndecan-1), CD269 (BCMA/TNFRSF17), SLAMF7 (CS1), and, in some settings, CCR10 and others. These surface antigens serve as crucial diagnostic biomarkers, have biological roles in cell signaling, adhesion, and immune evasion, and represent key therapeutic targets for monoclonal antibodies, antibody-drug conjugates, bispecific antibodies, and CAR-T cell therapies. The specific antigen profile of myeloma cells can show both inter- and intra-patient heterogeneity and may change with disease progression and therapy. The diversity of surface antigens enables multi-targeted therapeutic strategies, but also poses challenges for specificity and resistance[1][2][3].

Other names
Myeloma-associated cell surface proteinMyeloma immunotherapy targetPlasma cell surface antigen (in the context of multiple myeloma)
02

Mechanism of action

Monoclonal antibody-mediated cell killing (e.g., cytotoxicity, antibody-dependent cellular cytotoxicity) CAR-T or bispecific T-cell engagers mediating targeted T-cell cytotoxicity Antibody-drug conjugate-mediated delivery of cytotoxic payload

03

Biological functions

Immune responseCell adhesionSignal transductionCell proliferationCell survival
04

Disease associations

CancerSpecifically, Multiple myeloma
05

Safety considerations

On-target/off-tumor toxicity (expression of some target antigens on normal plasma cells or other hematopoietic cells)CytopeniasCytokine release syndrome (especially with bispecifics and CAR-T)Risk of infections due to plasma cell depletion/immune suppression
06

Interacting drugs

Daratumumab (anti-CD38 antibody)

6 more in the full profile.

07

Biomarkers

CD38B-cell maturation antigen (BCMA / TNFRSF17 / CD269)SLAMF7 (CS1)CD138 (Syndecan-1)CCR10 (emerging/experimental)[1][3]

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